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. 2023 Nov 30;6(11):e2345138. doi: 10.1001/jamanetworkopen.2023.45138

Table 3. Adverse Effects and Adverse Events Listed by Treatment Group.

Adverse event or adverse effect Participants, No. (%) (N = 74)
SA group (n = 37) NSA group (n = 37)
Mild and transient adverse effects
Mild pain 33 (94) 32 (91)
Intense pain 1 (3) 0
Punctate bleeding 3 (9) 2 (6)
Itching in the auricle 11 (31) 14 (40)
Increased appetite 1 (3) 0
Headache 1 (3) 0
Hot flashes 0 1 (3)
Difficulty sleeping 0 2 (6)
Sensitivity to pressure 1 (3) 2 (6)
Facial skin hypersensitivity 0 1 (3)
Moderate adverse effect: local inflammation 1 (3) 0
Moderate adverse events
Worsening of depressive symptoms (4 wk) 0 0
Worsening of depressive symptoms (6 wk) 0 1 (6)
Worsening of depressive symptoms (3 mo) 1 (3) 1 (6)
Emergence of suicidal ideation (4 wk) 0 2 (6)
Emergence of suicidal ideation (6 wk) 0 2 (6)
Emergence of suicidal ideation (3 mo) 2 (6) 2 (6)
Any severe adverse events and adverse effects 0 0
Discontinuation due to adverse effects
Local pain 3 (9) 1 (3)
Local inflammation 1 (3) 0

Abbreviations: NSA, nonspecific auricular acupuncture; SA, specific auricular acupuncture.